Today’s issue of WorkCompRecap features the release of another edition of WCRI’s CompScope Medical Benchmarks, which examined the Wisconsin system and found that medical payments per claim with more than seven days of lost time were among the highest of 18 states studied.
Key findings included that prices paid for professional services grew 3% per year during the 2014-19 period, similar to other states without medical fee schedules. Payments per service for hospital outpatient services grew about 5% per year, with charges per service growing 4% per year between 2014-18 before increasing nearly 8% in 2019. WCRI noted that a combination of factors may have contributed to the result, including medical inflation, recent hospital consolidations, and changes in the characteristics and severity of claims receiving inpatient/outpatient care. Also of note was that the percentage of claims receiving hospital outpatient services actually increased -a departure from the typical study states- with almost 80% of Wisconsin claims involving hospital services.